Importance of the diagnosis in the pulpotomy of immature permanent teeth.
نویسندگان
چکیده
Pulpotomy is a conservative therapy performed to remove the inflamed coronal portion of the pulp and preserve the vitality of the remaining radicular pulp. This article reports two cases of immature permanent mandibular molars with clinical signs of pulp vitality and radiographic images of periapical bone rarefaction, which were treated with calcium hydroxide pulpotomy. In Case 1, pulpotomy was performed in a single session, while in Case 2 two sessions were required to complete the treatment. Clinical and radiographic follow up within 13 and 9 months, respectively, showed hard tissue barrier and new bone formation as well as progression of root development. These outcomes are confirmatory that an accurate clinical/radiographic assessment of pulp vitality is of paramount importance for the correct diagnosis and indication of pulpotomy in cases of young permanent teeth with incomplete root formation.
منابع مشابه
Induction of Maturogenesis by Partial Pulpotomy: 1 Year Follow-Up
In cariously exposed immature permanent teeth, the treatment choice is controversial in pediatric dentistry. Radical root canal treatment usually appears to be the solution for these teeth. Even partial pulpotomy is a vital treatment for traumatically exposed immature permanent teeth; extending the borders of indication towards cariously exposed immature permanent teeth with reversible pulpitis...
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Traumatic or carious exposure of a vital pulp in an immature permanent tooth presents a significant clinical challenge to maintain proper vitality. Currently available procedures include direct pulp capping, complete pulpotomy and partial pulpotomy. This paper reviews the application of partial pulpotomy in immature permanent teeth and provides prognostic and technique guidance.
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ورودعنوان ژورنال:
- Brazilian dental journal
دوره 18 3 شماره
صفحات -
تاریخ انتشار 2007